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Individual

AMY R JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
12493 UNIVERSITY AVE, CLIVE, IA 50325-8281
(515) 226-9622
(515) 224-2907
Mailing address
PO BOX 4250, DES MOINES, IA 50333-4250
(515) 243-2057
(515) 244-5570

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02408
IA

Other

Enumeration date
07/21/2009
Last updated
07/21/2009
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